Search Results (103)

Although the health risks associated with exposure to potentially harmful elements (PHEs) are well documented, there is still limited research on their accumulation at trace concentrations in small mammals inhabiting agricultural ecosystems. This study provides the first comprehensive assessment of PHE accumulation in fossorial water voles (Arvicola scherman) from two low-input apple orchards (Nava and Oles) located in Asturias, northwestern Spain, demonstrating its value as a potential bioindicator of trace element inputs. We quantified the concentrations of three toxic metals (Pb, Cd, and Hg) and selenium (Se), an element with concentration-dependent toxicity, in kidney, liver, and muscle tissues. We also determined inter-population differences and associations with body condition. Overall, element concentrations generally reflected the natural content of the local soils, except for Cd in the kidney, which exceeded soil levels, highlighting its strong affinity for this organ. Significant differences in Pb, Cd, and Se accumulation were found among tissues, with the kidney showing the highest levels, underscoring the importance of organ-specific monitoring. The observed positive correlations between body condition and Se and Cd in kidney tissue, and Cd in liver tissue, particularly in the Nava population, suggest that individual health status modulates exposure and accumulation dynamics. Higher PHE burdens were found in Oles specimens, pointing to a potential threshold effect where higher contamination may begin to impair physiological condition. In contrast, Hg showed a negative relationship with body condition, suggesting possible adverse effects even in these low-input systems. These findings highlight the importance of carefully interpreting physiological biomarkers within an ecological context and demonstrate the potential for trace elements to propagate through the food web, with possible cascading effects on predator health and key ecosystem services, such as natural pest control. Future research should extend to more contaminated sites and adopt an integrative framework combining biomonitoring, dietary ecology, and stress physiology to better assess the ecological risks posed by trace elements in agroecosystems. Full article

Urban environmental noise represents a major public health issue contributing to chronic sleep disturbances, mainly from road, aircraft, and railway traffic. Night-time recreational noise from cafés, bars, and restaurants has emerged as a frequent source of sleep complaints but remains poorly understood, along with the influence of sociodemographic and economic factors. We addressed this gap by conducting a large-scale ecological study across the Paris Metropolitan Area (~10.5 million inhabitants) examining associations between the Average Energetic Index of night-time noise (AEI L_n) from road, aircraft, railway, and recreational sources and the prevalence of adults aged 18–79 reimbursed for hypnotic psychotropic drugs prescribed for chronic insomnia between 2017 and 2019, stratified by sex, age, and socioeconomic status. The AEI L_n represents the population-weighted average energy noise level within each territory at night (22:00–06:00 in France), calculated at the IRIS level (~2487 inhabitants per IRIS). The dispensing of hypnotic psychotropic drugs concerned 513,276 inhabitants (65.4 per 1000 inhabitants [‰]) on average per year. About 8 million inhabitants (75.7%) are exposed to night-time road traffic noise exceeding WHO health guidelines, followed by railway (~1.2 million, 11.6%), recreational (~1.2 million, 11.5%), and aircraft noise (~1.0 million, 9.8%). Each 5 dB(A) increase in AEI L_n was significantly associated (p < 0.001) with higher dispensing of hypnotic psychotropic drugs, strongest for road noise (+1.0‰), followed by recreational (+0.8‰), aircraft (+0.5‰), and railway noise (+0.3‰). Effects were significantly greater among individuals aged >50 (+8.3‰), women (+2.0‰), and those in the most socioeconomically deprived areas (+2.5‰). These results support proactive public policies aimed at reducing noise from transportation and recreational activities in densely urban areas to mitigate chronic insomnia. Full article

The common border between Bulgaria and North Macedonia, alongside the regulatory requirements stemming from Bulgaria’s membership in the European Union, provide grounds for comparing the legislative environment in both countries. This article presents a comparative case study of the regulatory frameworks governing community pharmacies in Bulgaria and North Macedonia. The aim of this study is to examine the specific features of current legislation related to the operation of community pharmacies, and to identify similarities, differences, and gaps in the organizational structure of pharmacy services, the population’s access to pharmaceutical care, and the qualification requirements for personnel working in community pharmacies. Bulgaria has been a member of the European Union since 2007, while the Republic of North Macedonia has had official EU candidate status since 2005. This provides a basis for comparing the regulatory frameworks of an EU and a non-EU system within the same regional context. In both countries, the overall pharmacy-to-population ratio exceeds the European average (3.3 pharmacies per 10,000 inhabitants), indicating sufficient availability. However, pharmacies are predominantly concentrated in major urban areas. In Bulgaria, challenges remain in ensuring access to pharmaceutical services in smaller and rural settlements, while in North Macedonia, the provision of such services is better ensured. The findings of this case study may be particularly relevant for countries undergoing health system reforms or EU harmonization processes. Full article

Mineral imbalances in livestock can critically impair growth, immunity, and productivity. Yaks inhabiting the Qinghai–Tibetan Plateau face unique environmental challenges, including high-altitude-induced nutrient variability. This study investigated the status of mineral elements and their correlations with altitude in healthy yak calves across five regions in Ganzi Prefecture, located at elevations ranging from 3100 to 4100 m. Hair and serum samples from 35 calves were analyzed for 11 essential elements (Na, K, Ca, Mg, S, Cu, Fe, Mn, Zn, Co, and Se). The results revealed widespread deficiencies. Key deficiencies were identified: hair Na and Co were significantly below references value (p < 0.05), and Se was consistently deficient across all regions, with deficiency rates ranging from 35.73% to 56.57%. Serum Mg and Cu were generally deficient (Mg deficiency > 26% above 3800 m). S, Mn (low detection), and Co were also suboptimal. Serum selenium deficiency was notably severe in lower-altitude areas (≤59.07%). Significant correlations with altitude were observed: hair sodium levels decreased with increasing altitude (r = −0.72), while hair manganese (r = 0.88) and cobalt (r = 0.65) levels increased. Serum magnesium deficiency became more pronounced at higher elevations (r = 0.58), whereas selenium deficiency in serum was more severe at lower altitudes (r = −0.61). These findings indicate prevalent multi-element deficiencies in yak calves that are closely linked to altitude and are potentially influenced by soil mineral composition and feeding practices, as suggested by previous studies. The study underscores the urgent need for region-specific nutritional standards and altitude-adapted mineral supplementation strategies to support optimal yak health and development. Full article

Host genetic variability is relevant to understanding how parasites modulate natural selection in wild fish populations. Coastal lagoons are transitional ecosystems where knowledge lacks on relationships between genotypic diversity with parasitism. The aim of this study was to assess the effect of genetic diversity on host health and parasitological traits in fish inhabiting a Mediterranean lagoon. Black-striped pipefish Syngnathus abaster were collected in August 2023 and 2024 from the Mar Menor (Iberian lagoon, SE Spain). Genetic diversity was measured as Internal Relatedness (IR: a homozygosity index from microsatellite markers). Population frequency was lower for the medium IR level. For this same category, both health indices (external body condition and internal organs) indicated a worse status. Parasite prevalence, abundance and an index of life-cycle complexity (heteroxenous species) were greater for the medium level of genetic diversity. Such results are explained under a scenario of parasite-mediated disruptive selection: a higher disease pressure against the phenotypically intermediate individuals. Two contrasting strategies were detected to better control parasitism at the host genotypic level: (1) high homozygosity, and (2) high heterozygosity, which probably reflects better immuno-competence as a phenotypic trait. From an evolutionary perspective, parasites play a crucial role in shaping genetic diversity within host populations. Full article

Background/Objectives: Cutaneous manifestations can signal underlying systemic inflammation, potentially exacerbated by chronic stress and diminished well-being. While links between psychosocial factors and skin health are recognized, comprehensive data across diverse populations remain limited. This study aimed to quantify associations between self-reported stress management capabilities, sociodemographic factors (gender, age, education, urbanization, professional status), lifestyle factors indicative of well-being, and the prevalence of six common dermatological manifestations (pruritus, burning sensations, redness, rash, desquamation, sunburn) within a large Polish cohort. Methods: This cross-sectional study analyzed data from 27,000 adult participants (22,043 women, 4887 men) collected during the National Healthy Skin Test (2023) via an online questionnaire. Participants reported the frequency of dermatological symptoms, stress management practices related to skin health, and relevant lifestyle factors (indicators of well-being). Logistic regression analyses identified significant predictors for each skin manifestation. Results: Effective stress coping ability was significantly associated with a lower prevalence of all six investigated dermatological manifestations (p < 0.001 for all). Significant gender differences emerged: women reported more frequent redness and burning sensations (p < 0.001), while men reported more frequent rash, sunburn, and desquamation (p < 0.001). Younger age (18–24 years) was associated with increased rash, desquamation, and redness compared to older adults (>65 years), who reported fewer burning sensations and less pruritus. Higher education and residence in large urban centers (≥500,000 inhabitants) were associated with increased reports of specific symptoms like sunburn and redness. Conclusions: This large-scale study demonstrates a significant association between psychosocial factors, particularly self-reported stress management, and the prevalence of six common, self-reported dermatological manifestations across various sociodemographic groups in Poland. The findings underscore the potential importance of considering a biopsychosocial approach in relation to these common skin symptoms. Further research is warranted, but these results suggest that for such common, self-reported skin issues, integrating stress reduction strategies and considering sociodemographic contexts and well-being may be valuable considerations for potentially enhancing personalized patient care and warrant further clinical investigation. Full article

Background: The positive effects of urban green space (UGS) on public health and well-being have been confirmed. However, most previous studies on the health benefits of UGS have focused on the influencing factors, mechanisms, and different groups of people, with little attention paid to regional heterogeneity. Methods: Using provincial-level panel data from China (2007–2020), this study measures residents’ comprehensive health levels (CHLs) through factor analysis encompassing physiological, mental, and social dimensions. Fixed-effects models and panel quantile regressions are employed to analyze UGS–health associations across climatic zones and health status quantiles. Results: The CHL of residents in China has improved as a whole, but with some provinces showing a declining or unpredictable trend. The results of the effects of UGS on the health status of urban residents were inconsistent. Overall, the amount of UGS is positively related to the CHL of the inhabitants (Coef. = 0.113; p < 0.01). In addition, the health-promoting effect of UGS is significantly stronger in provinces with a higher health level than in provinces with a lower health level, and no positive effect was observed in the provinces with the lowest health level. Increasing the amount of UGS can effectively improve the CHL of residents in the mid-temperate (Coef. = 0.189; p < 0.05) and warm temperate (Coef. = 0.135; p < 0.05) regions, but no health-promoting effect was found in the subtropical regions. Conclusions: This study expands our scientific understanding of the effects of UGS on the comprehensive health status of urban residents. Full article

Background and aim: During the past few decades, the aging population has increased. With aging, there is an increase in functional limitations. The aim of this study was to analyze sociodemographic factors associated with physical functioning impairment in elderly males and females. Methods: This population-based modeling study based on a data from a third national study of health of Serbian inhabitants from 2013 in Serbia included 3540 elderly participants 65 years of age and above from Serbia. Physical functioning for both genders was categorized as follows: PF1—walking half a kilometer on level ground without the assistance of any mobility aids and PF2—walking up or down 12 steps. Modeling of physical functioning for both genders was categorized as follows: Model 1: inability to perform PF1, Model 2: some/a lot of difficulty in performing PF1, Model 3: inability to perform PF2, and Model 4: some/a lot of difficulty in performing PF2. Further variables were evaluated: age, education level, marital status, body mass index (BMI), wealth index, and place of residence. Logistic regression was performed to identify the variables that are factors associated with PF1 and PF2 in elderly males and females. Results: Statistically significant factors were as follows: age (Model 1 (male OR: 2.591; female OR: 4.708); Model 2 (male OR: 1.791; female OR: 2.354); Model 3 (male OR: 2.386; female OR: 4.985); Model 4 (male OR: 1.883; female OR: 2.772)); BMI (Model 2 (female OR: 1.348); Model 4 (female OR: 1.329)), marital status (Model 2 (female OR: 0.713); Model 4 (male OR: 0.688)); education level (Model 1 (male OR: 0.626; female OR: 0.537); Model 2 (male OR: 0.811; female OR: 0.653); Model 3 (male OR: 0.697; female OR: 0.494); Model 4 (male OR: 0.784; female OR: 0.639)); wealth index (Model 2 (male OR: 0.823; female OR: 0.740); Model 3 (male OR: 0.724); Model 4 (male OR: 0.787; female OR: 0.731)); and place of residence (Model 1 (female OR: 1.704); Model 3 (female OR: 1.575)). Conclusions: Increased age, being single, a lower education level, and a lower wealth index were factors associated with functional disability in the elderly of both genders, while an increased BMI and living in another place than a city were factors associated with functional disability in elderly females. Specific social strategies bearing in mind possible gender differences should be created and implemented in order to optimize the physical functioning, mobility, and participation of the elderly. Full article

Background: Ocular disorders are not frequently addressed in primary care, which is more visible in remote rural settings. The aim of the study was to assess the prevalence and pattern of eye diseases in a remote rural population of Crete and to explore whether they represent a hidden morbidity. Materials and Methods: A community-based, cross-sectional study based on data collected through a comprehensive clinical investigation conducted by a mobile ophthalmological unit. Permanent inhabitants, aged over 40 years, living in one remote rural community located on the highest mountain of Crete, were invited to participate. The prevalence of eye diseases was measured during the comprehensive ophthalmological examination. Patients’ medical records were used to assess hidden morbidity. The National Eye Institute Visual Function Questionnaire-25 (NEI VFQ-25) was applied to measure self-reported vision-targeted health status. Results: A total of 239 individuals agreed to participate; 54.9% were females (n = 151), with a mean ageof 66.13 years (±14.56). The most common diagnoses were refractory errors (59%), cataract (21.7%), glaucoma (11.7%), maculopathy (8.8%), and dry eyes (8.8%). A previously undiagnosed eye disorder was detected in 34.3% (n = 82). Total scores of NEI VFQ-25 measured quality of life were highand significantly lower in Known Cases of eye diseases compared to patients with New or Without diagnosis (76.6 vs. 84.1 and 84.6, respectively, p = 0.009). Conclusions: Our study highlighted the need for increased awareness of primary care in rural areas concerning eye disorders. Local policies should focus on implementing public health interventions and encouraging close cooperation with specialists to overcome accessibility issues. Full article

Background/Objectives: Research considering objectively measured moderate-to-vigorous physical activity (MVPA) and sedentary behaviors (SB) and health outcomes among urban children has produced equivocal findings. Therefore, this study was designed (i) to compare MVPA and SB of urban and non-urban children and (ii) to analyze associations between the risk of overweight and MVPA of children by their degree of urbanization. Methods: The sample comprised 389 children (195 girls) aged 6 to 10 years. Measurements for height and weight were taken, followed by the calculation of body mass index (BMI). A motion sensor was employed to gather data on MVPA and SB for 7 days. Urban regions were characterized as areas with a population density exceeding 500 inhabitants per square kilometer or having a total population greater than 50,000. ANOVAs, partial correlations, and logistic regression analysis were used, controlling for potential confounders. Results: After controlling for wearing time and sex, urban children were significantly less active (lower MVPA) than non-urban peers [i.e., urban: 48 min/day vs. 51 min/day (non-urban)]. On the other hand, urban children spent significantly more time on SB than their non-urban counterparts on the weekend and during all assessed days. MVPA was significantly associated with the risk of being overweight at the weekend for both urban and non-urban children. Inspection of the final regression model indicated that urban children who engaged in sedentary behavior for extended periods were at a higher risk of being categorized as overweight. Conclusions: Findings revealed the association between MVPA and the risk of overweight on weekdays was just significant for urban children. The location where a child lives significantly influences their weight status, and therefore, community-based programs [at schools (PE and recess) and after-school (organized sports)] should be developed that encourage active lifestyles tailored to urban environments. Full article

Global awareness of introduced species as one of the primary drivers of biodiversity change—causing environmental impacts, and economic and social effects—emphasizes the need to enhance our understanding of these species. Developing a comprehensive database will enable policymakers to identify global bioinvasion patterns and strengthen their capacity to manage them effectively. Aquatic mollusks play a crucial role in the ecosystems they inhabit, influencing food webs and nutrient cycling, and habitat formation and modification. They are also the dominant group in aquaculture, contributing significantly to the economy while also causing economic losses through macrofouling and posing health risks. Despite their importance, information on the introduction, establishment, and dispersal of mollusk species in South America remains scarce and is often confined to the grey literature. With the aim of organizing, increasing, and strengthening the knowledge of non-native and transplanted mollusks in general and aquatic mollusks in particular, 29 specialists in the introduced mollusks of South America, from seven countries, have been working collaboratively since 2016. Each member contributes expertise, data, and bibliographic resources to build the status of the introduced mollusks in South America and provide critical information to prevent future introductions and transplants. In aquatic environments, 41 non-native mollusk species and 18 transplanted species have been identified. Among them, the bivalve Limnoperna fortunei stands out with the greatest economic effect, while the gastropods Lymnaeidae and Thiaridae represent significant health concerns. Although this research represents a major step forward, it also highlights challenges such as the scarcity of taxonomic studies and the limited investigation of vast areas in South America. The information compiled in this review serves as a resource for researchers, policymakers, and the general public when addressing mollusk bioinvasions in South America. Full article

Background/Objectives: Spain has been in a measles elimination phase since 2014. No evidence exists about the distribution of measles cases among the population born outside Spain. The aim of this study was thus to describe the epidemiological situation of measles, stratified by place of birth, during the post-elimination period in Spain. Methods: This is a retrospective study of confirmed measles cases reported to RENAVE between 2014 and 2022. A descriptive analysis of case characteristics (sex, age group, vaccination status, imported case) was performed, was well as an analysis of temporal trends and geographic distribution in measles incidence rate (IR; cases/million inhabitants). All analyses were stratified by place of origin (Spain born vs. born outside Spain). We then performed a sensitivity analysis of those born outside Spain, with the representation of Kaplan–Meier curves taking into account the year of arrival in the country until the onset of measles. Results: Between 2014 and 2022, 951 measles cases were reported in Spain (overall IR: 2.3). Among these, 18.6% (177 cases, IR: 3.0) were born outside Spain. The IRs show differences (p < 0.001) in terms of distribution by age group and origin. By age group, children under 5 years had the highest IR, but adults aged 30 years and older reported the highest proportion of cases. The incidence rate ratio (IRR) was 5-fold higher among foreign-born children under 5 years than among native-born children. The measles time trend shows the highest peak in 2019 for foreign-born and native-born (IR: 8.6 and 5.4, respectively), consistent with the European-wide scenario, while only one case of measles was reported in 2022. Geographical variability in incidence rates by region was observed: Catalonia and the Valencian Community accumulated the highest proportion of cases throughout the study period. Among those born outside Spain, the median time from arrival to onset of rash was 6 years. Conclusions: The incidence of measles is 40% higher in Spain’s foreign-born population than in its native-born population. Taking into account the increasing migrant population in Spain, we consider that public health efforts need to be directed towards susceptible groups of people. In this context of advanced elimination, specific interventions for identifying and attending the most vulnerable populations should be designed and implemented. Full article

The family Apataniidae consists of two subfamilies, Apataniinae and Moropsychinae. Currently, there are 204 valid species of Apataniidae, which are widely distributed throughout the northern hemisphere. The larvae typically inhabit cold-water environments, and they serve as biological indicators for monitoring the health of freshwater ecosystems. The phylogenetic relationships within Apataniidae are not fully understood. Moreover, the available molecular data of Apataniidae are still limited. Herein, we provided the mitochondrial genomes of eight apataniid species and compared them with the published mitochondrial genomes of Apataniidae. The nine newly obtained sequences ranged from 15,070 bp to 16,737 bp in length. The results of the nonsynonymous with synonymous substitution rates displayed that ATP8 had the highest evolutionary rate, while COXI exhibited the lowest. The ND4L may be an effective molecular marker for the classification of the Apataniidae. Based on the published mitogenomes, we constructed a phylogenetic tree for Limnephiloidea and conducted a preliminary analysis of its advanced phylogeny. The ML and BI analyses recover the monophyly of Apataniidae and Limnephilidae. Except for PCG, BI tree based on other matrices consistently showed the topology: (Apataniana + (Moropsyche + (Apatidelia + Apatania))). The taxonomic status of Apatania and Apatidelia were also preliminarily explored. The mitochondrial genome of Apataniidae provides critical genomic resources for understanding the phylogenetic relationships of Apataniidae. Full article

Background. In many studies over the past decade, scientists have made a connection between the composition of gut microbiota and human health. A number of publications have shown that gut bacteria are involved in many metabolic and physiological processes of the organism. The composition of the gut microbiome is unique for each person and is formed under the influence of various factors associated with both the individual characteristics of the body and the characteristics of the environment. Different regional characteristics make it necessary for the body to adapt to certain conditions, including temperature fluctuations. Living in areas with low temperatures, such as the Arctic zone, dictates the need for increased energy consumption, which affects the composition of the gut microbiome. Methods. In our study, an extensive questionnaire was conducted among the participants, where many questions were included about the dietary preferences of the study participants, which allowed them us to further divide them into groups according to their diets. Stool samples were collected from participants from 3 groups: Arctic native, Arctic newcomer and the control group. The next step was the isolation of bacterial DNA and sequencing the 16S rRNA gene. The analysis of the results of the diversity of the intestinal microbiota was carried out both with and without taking into account the dietary preferences of the participants. Results. As a result of comparing the intestinal microbiota obtained from residents of the Arctic zone with the gut microbiota of residents of other regions with a milder climate, significant differences are found. These differences may be related to limited food resources and a reduction in the variety of food products characteristic of this Arctic region. t was also found that representatives of the bacterial families Christensenellaceae and Muribaculaceae dominated the control group, both with traditional nutrition and with a dairy-free diet in comparison with the Arctic groups. The control group was dominated by representatives of the Prevotellaceae, Enterobacteriaceae and Comamonadaceae families compared to the Arctic group (with a traditional diet). The results also show that the number of representatives of the families Desulfovibrionaceae (with traditional diet) and Enterobacteriaceae (with milk-free diet) is growing in the Arctic group. Conclusions. In the course of this work, bacterial families characteristic of people living in the Arc-tic zone of the Far Eastern region of the Russian Federation were identified. Poor diet, difficult climatic conditions, and problems with logistics and medical care can have a strong impact on the health of this population. The main type of diet for the inhabitants of the Arctic is the traditional type of diet. They consume a large number of low-cost products, obtainget animal protein from poultry and canned food, and also eat a small number of fresh vegetables and fruits. Such a diet is due to the social status of the study participants and the climatic and geographical features of the region (difficulties in agriculture). With such a diet, we observe a decrease in representatives of the Christensenellaceae, Muribaculaceae, Eubacteriaceae, and Prevotellaceae families and an increase in representatives of the Enterobacteriaceae and Desulfovibrionaceae families among Arctic residents. This imbalance in the futuremay cause, this population may to develop various diseases in the future, including chronic diseases such as obesity, intestinal dysbiosis, inflammatory bowel diseases, and type 2 diabetes. Full article

The gut microbiota plays a crucial role in the health and well-being of wildlife. However, its composition and diversity remain unexplored, particularly in threatened species such as the Siberian musk deer (SMD). This study aimed to elucidate the gut microbiota composition within different wild SMD communities for assessing their health status. We conducted the first comprehensive fecal microbiome analysis of wild SMD inhabiting three distinct locations in Gangwon Province, Republic of Korea (Korea). Fecal samples were collected non-invasively and 16S rRNA gene sequencing was performed for gut microbiota characterization. Consistent with previous research, Firmicutes and Bacteroidetes were the dominant phyla in the gut microbiota of wild SMD. Planctomycetota was a prevalent phylum in wild SMD gut microbiota, warranting further investigation of its ecological significance. While significant differences were observed in the gut microbiota richness among the three groups, no significant disparities were detected in the beta diversity. Additionally, certain genera exhibited distinct relative abundances among the groups, suggesting potential associations with geographic factors, gut disorders, and dietary habits. Our findings provide valuable insights into the gut microbiome of wild SMD and offer a foundation for future microbiome-based conservation efforts for this vulnerable species. Full article